Individual
MELISSA HALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4704296795
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704296795
STATE OF MICHIGAN LARA
MI
Enumeration date
09/19/2019
Last updated
04/27/2026
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